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The use of a computer-based model to implement an incontinence management program

J F Schnelle1, P McNees, V Crooks

  • 1Borun Center for Gerontological Research, UCLA School of Medicine, Jewish Home for the Aging, Reseda 91335, USA.

The Gerontologist
|October 1, 1995
PubMed
Summary
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A computerized incontinence system improved resident dryness in seven of eight nursing homes. Continuous computer monitoring and staff feedback were crucial for maintaining the system's effectiveness over six months.

Area of Science:

  • Gerontology
  • Healthcare Management
  • Nursing Informatics

Background:

  • Urinary incontinence is a prevalent issue in nursing home residents, impacting quality of life and care costs.
  • Effective management systems are needed to address incontinence challenges in long-term care facilities.

Purpose of the Study:

  • To implement and evaluate a computerized total quality management model for an incontinence system in nursing homes.
  • To assess the impact of the system on resident wetness and identify factors for successful maintenance.

Main Methods:

  • A computerized total quality management model was implemented across eight nursing homes.
  • Resident wetness was measured before and for six months after program implementation.
  • Staff training was provided, and ongoing computer monitoring and telephone feedback were utilized.

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Main Results:

  • Seven out of eight nursing homes demonstrated significant improvement in resident dryness.
  • Improvements in resident dryness were sustained for a six-month period.
  • Continuous remote monitoring and direct staff feedback were essential for sustained success.

Conclusions:

  • A computerized total quality management approach can effectively improve incontinence management in nursing homes.
  • Sustained success requires ongoing technical support and direct communication with facility staff.
  • This model offers a scalable solution for enhancing resident care and quality of life.